RC 721
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Pv4 Delivery Rm & Routine Sply
Low
$30
Average
$404
Median
$538
High
$1.8k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 14.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
41 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | $51 | 20% | — | $187 – $311 |
| 2 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $538 | $538 | — | — | — | $538 – $538 |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN per diem · both | 2 | $592 | $592 | $54 | 9% | — | $538 – $646 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN per diem · both | 1 | $538 | $538 | — | — | — | $538 – $538 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both | 14 | $538 | $564 | $46 | 8% | — | $538 – $646 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both | 14 | $538 | $565 | $47 | 8% | — | $538 – $646 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both | 16 | $538 | $562 | $45 | 8% | — | $538 – $646 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both | 2 | $592 | $592 | $54 | 9% | — | $538 – $646 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both | 2 | $592 | $592 | $54 | 9% | — | $538 – $646 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN per diem · both | 2 | $592 | $592 | $54 | 9% | — | $538 – $646 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · both | 2 | $592 | $592 | $54 | 9% | — | $538 – $646 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN per diem · both | 2 | $592 | $592 | $54 | 9% | — | $538 – $646 |
| 13 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both | 2 | $592 | $592 | $54 | 9% | — | $538 – $646 |
| 14 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $95 | $100 | $25 | 25% | — | $72 – $132 |
| 15 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 16 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $441 | $419 | $83 | 20% | — | $309 – $507 |
| 17 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $594 | $826 | $821 | 99% | — | $188 – $2.4k |
| 18 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 1 | $538 | $538 | — | — | — | $538 – $538 |
| 19 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $43 | $46 | $13 | 29% | — | $32 – $64 |
| 20 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $30 | $30 | $4 | 14% | — | $25 – $35 |
| 21 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 22 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 23 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 24 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 25 | Navarro Hospital LP Corsicana, TX facility · fee schedule · outpatient | 1 | $76 | $76 | $7 | 9% | — | $67 – $84 |
← Payers reporting RC 721 · Snapshot 20261111T120946Z-9134e7f7